Individual
JOHN ROSS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLCSW
Contact information
Practice address
8500 BROADWAY STE A, MERRILLVILLE, IN 46410-7006
(219) 805-3683
Mailing address
2456 MEDERA DR, VALPARAISO, IN 46385-5356
(219) 805-3683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002988A
IN
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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